Organization
FOOT AND ANKLE CENTER AT THE BURKLAND MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SELBY BLANKEN D.P.M. (OWNER)
(301) 592-0505
Entity
Organization
Contact information
Practice address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Mailing address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1309
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20726
CHARTERED HEALTH
DC
01
—
293916
MAMSI
—
01
—
3441921
AETNA
—
05
—
408775500
—
MD
01
—
NB5
BSDC
—
Enumeration date
03/16/2006
Last updated
05/26/2011
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